Individual provider Active NPI

Bonnie Rushley

  • Addiction (Substance Use Disorder) Counselor
  • Mount Vernon, OH
National Provider Identifier
1881310324
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
182803 Issued in OH
Practice address
113 W Gambier St
Mount Vernon, OH 43050-2421
Phone
(740) 326-9099
Fax
(740) 326-9099
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 182803 OH Primary

Addresses

Primary practice location

113 W Gambier St
Mount Vernon, OH 43050-2421

Mailing address

113 W Gambier St
Mount Vernon, OH 43050-2421
Phone (740) 326-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
182803OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Recovery LLC Addiction (Substance Use Disorder) CurrentSince Mar 12, 2023 Accepting new patients
Riverside Recovery Services LLC PastSince Apr 1, 2023 Accepting new patients

Locations

113 W Gambier St
Mount Vernon, OH 43050
Phone (740) 326-6158

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rrsohio/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1881310324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W GAMBIER ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502421",
            "telephone_number": "740-326-9099",
            "fax_number": "740-326-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W GAMBIER ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502421",
            "telephone_number": "740-326-9099",
            "fax_number": "740-326-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHLEY",
        "first_name": "BONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "182803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.